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Amalgam Removal Treatment

Thanks to the development of new, stronger tooth coloured materials, silver amalgam fillings are often not the best choice for long term dental health, functionality and appearance.

At Hereford Dental & Implant Clinic we can safely remove existing amalgam fillings and replace them with new ceramic or composite materials. At our clinic in Hereford our patients welfare is of most importance and therefore we do not advocate the use of dental amalgam as a filling material. We offer alternatives such as tooth coloured composite filling materials or much stronger and longer lasting alternative,ceramic fillings.

Amalgam removal patient 1

This patient did not like the appearance of these large silver mercury fillings. We used our Amalgam removal technique to take out the fillings and replace with white composite.

Amalgam Replacement Treatment

Many people wish for their old metal fillings to be replaced with new white fillings for a more natural look. The days of using unsightly mercury, silver or related substances for teeth fillings have long gone, and at our Hereford practice we use tooth-coloured or composite fillings as an alternative to amalgam (mercury) varieties.

Amalgam removal patient 2

This patient was unhappy with the colour of his silver amalgam fillings. We replaced these with tooth coloured non-mercury fillings in one painless visit.


There are some major advantages to composite (mercury-free) fillings. They are less destructive on the teeth and they are more adhesive, meaning they are much less likely to break loose. The dentists will shape the filling to follow a natural tooth’s contours, restoring it to its natural beauty. They are much more aesthetically pleasing and can be worked and polished in a way that makes them look just like a natural tooth. There are no significant health risks with composite fillings.

At my first appointment I was asked if I had ever wanted to change anything about my smile. I remember laughing and saying I hated my metal fillings but it was too late to do anything wasn’t it? I had never realised that it was possible to get metal fillings out and replace them this was a real revelation. The dentist explained how the treatment worked and allayed any fears I had. I couldn’t wait to have it done! At the appointment, everyone was so kind, and they made me feel completely at ease. The procedure went smoothly and before I knew it I was metal free! I never have to worry about people seeing the grey bits in my smile again and it’s all thanks to the wonderful team at Hereford Dental & Implant Clinic.


Putting your mind at rest

There is some concern over mercury fillings and in certain Scandinavian and European countries they are banned. The evidence against mercury amalgam fillings thus far is inconclusive but the general thinking is that the Mercury causes the most harm. Most dentists in the UK use both types and give patients the option however Hereford Dental & Implant Clinic is a big advocate of white fillings over silver.
At our clinic, we have the safest methods available to remove amalgam fillings, including a rubber dam to prevent overspill and isolate the tooth being worked on. High volume suction ensures that materials and vapors are sucked away too.

What are the disadvantages of Dental Amalgam?

  • Amalgam fillings can expand with age and crack teeth
  • They can lose there protective seal and start to decay
  • Cause grey staining within teeth
  • Contain Mercury
  • Non-adhesive unlike white fillings

Amalgam Replacement Treatment

Many people wish for their old metal fillings to be replaced with new white fillings for a more natural look. The days of using unsightly mercury, silver or related substances for teeth fillings have long gone, and at our Hereford practice we use tooth-coloured or composite fillings as an alternative to amalgam (mercury) varieties.

amalgam removal

Frequently Asked Questions about Amalgam Replacement Treatment

  • What is amalgam?
    Amalgam is a combination of metals that has been used in dentistry for more than 100 years. It is still commonly used today. Although it sometimes is called “silver amalgam,” amalgam actually consists of a combination of metals. These include silver, mercury, tin and copper, and small amounts of zinc, indium or palladium.With the development of tooth-colored materials to restore teeth, amalgam is used less often than in the past. However, the newer materials can’t be used for all situations. Amalgam is less costly than other materials. It also holds up better over time, especially in teeth that undergo a lot of pressure and wear from chewing.
  • Is amalgam safe?
    Millions of people have amalgam fillings. Concern has been raised over the mercury in amalgam, and the issue has been studied extensively. Yet researchers have not found evidence of significant health problems related to the use of amalgam in fillings.
  • Is the mercury, which is absorbed into the body harmful?
    For the overwhelming majority of people no harmful effects are known to be caused by the average levels of mercury exposure from amalgam fillings. For those subject to high exposures, for example, in industrial settings, the severity of any scientifically validated harmful effects depends upon the duration and amount of exposure.
  • Why does the dental profession continue to use amalgam when questions are being raised about its safety?Every time a foreign substance is used in the human body for therapeutic purposes, there is an element of risk. Health professionals must constantly weigh the known risks of a particular intervention against known benefits. In the case of dental amalgam, the scientific evidence indicates that no significant risks are involved. If there were risks, they would have been clearly observed during the 150 years that this material has been in use. Dental team members, in particular, would have shown clinically demonstrable effects due to their considerable exposure to the substance. The risks associated with the use of dental amalgam appear to be limited, and the benefits to patients are known to be large. Dental amalgam is much stronger and more durable than alternative restorative materials, and amalgam restorations can be completed at a more reasonable cost. Recent advances, such as the development of amalgam bonding techniques, have made amalgam even more advantageous as a restorative material.
  • Should pregnant women be concerned about amalgam fillings?
    Research has not shown any health effects from amalgam fillings in pregnant women. However, mercury can cross the placenta. In general, dentists advise pregnant women to avoid unnecessary dental treatment. Women should not get amalgam fillings during pregnancy. Dentists can suggest other materials for any pregnant woman who needs a cavity filled.
  • Are there alternatives to amalgam?
    There are outstanding alternatives to mercury fillings. For small cavities, tooth coloured composite resin fillings are excellent. For larger problems, there are options such as reinforced porcelain or resin inlays, onlays and crowns that are custom fabricated in a dental laboratory. These materials are beautiful and can be bonded to a tooth so the final result is as strong as the natural tooth.

If you are interested in this procedure, we recommend a consultation with one of our dentists who can explain the procedure

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By Dr Gursh Bajwa

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